Individual
DR. HOLLY LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
201 3RD ST STE 200, BELLEVILLE, MI 48111-2605
(734) 697-9059
Mailing address
3500 E JEFFERSON AVE APT 221, DETROIT, MI 48207-4398
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00616900
NJ
103TC0700X
Clinical Psychologist
6301016769
MI
Other
Enumeration date
02/01/2018
Last updated
05/02/2024
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